Report of a urologist for the qualification category. Regulations on the procedure for obtaining qualification categories by medical and pharmaceutical workers

Registered with the Ministry of Justice of the Russian Federation on July 5, 2003.
Registration number 29005

In accordance with subparagraph 5.2.116 of the Regulations on the Ministry of Health of the Russian Federation, approved by the Decree of the Government of the Russian Federation of June 19, 2012 No. 608 (Collected Legislation of the Russian Federation, 2012, No. 26, Art. 3526),

I ORDER:

1. Approve the attached Procedure and terms for medical workers and pharmaceutical workers to pass certification to obtain a qualification category.
2. Recognize invalid the order of the Ministry of Health and Social Development of the Russian Federation dated July 25, 2011 No. 808n "On the procedure for obtaining qualification categories by medical and pharmaceutical workers" (registered by the Ministry of Justice of the Russian Federation on September 23, 2011, registration No. 21875).
3. To impose control over the execution of this order on the Deputy Minister of Health of the Russian Federation I.N. Kagramanyan.

Minister
IN AND. SKVORTSOVA

Approved
order of the Ministry of Health
Russian Federation
dated April 23, 2013 No. 240n

The procedure and terms for medical workers and pharmaceutical workers to pass certification to obtain a qualification category

I. General provisions

1. These Procedures and terms for medical workers and pharmaceutical workers to pass certification to obtain a qualification category (hereinafter referred to as certification and the Procedure, respectively) determine the rules for medical workers and pharmaceutical workers to pass certification and apply to specialists with secondary medical and pharmaceutical education, specialists with higher professional education carrying out medical and pharmaceutical activities (hereinafter referred to as specialists).

2. Certification of specialists with secondary and higher medical and pharmaceutical education is carried out in the specialties provided for by the current nomenclature of specialties for specialists with medical and pharmaceutical education (hereinafter referred to as specialties).

3. Certification of specialists with other higher professional education and engaged in medical and pharmaceutical activities is carried out for the positions provided for by the current nomenclature of positions of medical and pharmaceutical workers (hereinafter referred to as positions).

4. Attestation is voluntary and is carried out by attestation commissions in three qualification categories: second, first and highest.

5. Attestation is carried out once every five years. The assigned qualification category is valid throughout the territory of the Russian Federation for five years from the date of issuance of the administrative act on assignment.

6. Specialists can apply for a higher qualification category not earlier than three years later from the date of issuance of the administrative act on the assignment of a qualification category.

7. Attestation assesses the theoretical knowledge and practical skills necessary to perform professional duties in the relevant specialties and positions, based on the results of the qualification exam.

The qualification exam includes an expert assessment of a report on the professional activities of a specialist (hereinafter referred to as the report), a test control of knowledge and an interview.

8. Specialist applying for second qualification category, must:

• have theoretical training and practical skills in the field of their professional activities;
• navigate in modern scientific and technical information, possess the skills of analyzing quantitative and qualitative indicators of work, compiling a report on work;
• have at least three years of work experience in the specialty (in position).

9. Specialist applying for first qualification category, must:

• have theoretical training and practical skills in the field of professional activity and related disciplines;
• use modern methods of diagnostics, prevention, treatment, rehabilitation and own medical and diagnostic equipment in the field of professional activity;
• be able to competently analyze the indicators of professional activity and navigate in modern scientific and technical information;
• participate in solving tactical issues of organizing professional activities;
• have at least five years of work experience in the specialty (in position).

10. Specialist applying for highest qualification category, must:

• have a high theoretical background and practical skills in the field of ongoing professional activities, know related disciplines;
• use modern methods of diagnostics, prevention, treatment, rehabilitation and own medical and diagnostic equipment in the field of professional activity;
• be able to evaluate the data of special research methods in order to establish a diagnosis;
• navigate in modern scientific and technical information and use it to solve tactical and strategic issues of professional activity;
• have at least seven years of work experience in the specialty (in position).

11. Qualification categories assigned to specialists prior to the entry into force of this Procedure are retained for the period for which they were assigned.

II. Formation of attestation commissions

12. For certification of specialists:

• the federal executive body responsible for the development and implementation of state policy and legal regulation in the field of healthcare creates a central attestation commission;
• federal executive bodies, state academies of sciences, organizations with subordinate medical organizations and pharmaceutical organizations create departmental attestation commissions;
• executive authorities of the constituent entities of the Russian Federation create territorial certification committees.

13. Attestation commissions in their activities are guided by the Constitution of the Russian Federation, federal constitutional laws, federal laws, decrees and orders of the President of the Russian Federation, decrees and orders of the Government of the Russian Federation, regulatory legal acts of federal executive authorities and state authorities of the constituent entities of the Russian Federation, as well as the present Order.

14. The Certification Commission consists of the Coordinating Committee (hereinafter referred to as the Committee), which performs the functions of organizing the activities of the Certification Commission, including ensuring the activities of the Certification Commission in between meetings, and expert groups in specialties (hereinafter referred to as the Expert Groups), which carry out certification of specialists in terms of consideration documents and qualifying examinations.

The attestation commission includes leading specialists of organizations engaged in medical and pharmaceutical activities, representatives of medical professional non-profit organizations, employers, public authorities or organizations that form the attestation commission, and other persons.

The personal composition of the attestation commission is approved by the administrative act of the state authority or organization that created the attestation commission.

15. The chairman of the attestation commission is the chairman of the Committee, carries out general management of the activities of the attestation commission, chairs the meetings of the Committee, organizes the work of the attestation commission, exercises general control over the implementation of the decisions taken by the attestation commission, distributes duties among the members of the attestation commission.

The Deputy Chairman of the Attestation Commission is the Deputy Chairman of the Committee, acts as the Chairman of the Attestation Commission in his absence, performs other functions on behalf of the Chairman of the Attestation Commission.

The executive secretary of the attestation commission is the executive secretary of the Committee, appointed from among the representatives of the state authority or organization forming the attestation commission.

The executive secretary of the attestation commission registers and reviews the documents of specialists arriving at the attestation commission who have expressed a desire to undergo certification for obtaining a qualification category, for compliance with the requirements for the list and execution of documents established by these Procedures and deadlines, forms materials for sending to the Expert Groups, prepares materials for meetings Committee, draft decisions of the Committee, performs other functions in accordance with this Procedure and on behalf of the Chairman of the Attestation Commission.

The deputy executive secretary of the attestation commission acts as the executive secretary of the attestation commission in his absence, performs other functions on behalf of the chairman of the attestation commission.

The Chairman of the Expert Group carries out general management of the activities of the Expert Group, chairs the meetings of the Expert Group, organizes the work of the Expert Group, distributes duties among the members of the Expert Group.

The Deputy Chairman of the Expert Group acts as the Chairman of the Expert Group in his absence, performs other functions on behalf of the Chairman of the Attestation Commission and the Chairman of the Expert Group.

The Executive Secretary of the Expert Group prepares materials for the meeting of the Expert Group and draft decisions of the Expert Group, performs other functions in accordance with this Procedure and on behalf of the Chairman of the Expert Group.

16. The main functions of the Committee are:

• organization of the activities of the attestation commission;
• coordination of the work of the Expert Groups;
• determining the venue for meetings of the Expert Groups;
• determination of methods, methods and technologies for assessing the qualifications of specialists;
• consideration of the need to use variable certification methods: remote with the use of telecommunication technologies (hereinafter referred to as remote certification), off-site meeting;
• sending to the public authority or organization that created the certification commission proposals for holding an off-site meeting of the Expert Group or remote certification, taking into account the workload of the Expert Group, the reasons for which it is planned to hold an off-site meeting of the Expert Group or remote certification, the number of specialists wishing to undergo certification, availability of equipped premises, the ability to comply with the requirements established by this Procedure;
• preparation and submission for approval to the state authority or organization that created the attestation commission, a draft administrative act of the state authority or organization on the assignment of qualification categories to specialists who have passed certification;
• organization of consideration of controversial issues, including in case of disagreement of a specialist with the decision of the Expert Group, and adoption of decisions on them;
• conducting office work of the attestation commission.

17. Expert groups perform the following functions:

• consider documents submitted by specialists in accordance with this Procedure;
• prepare conclusions on the reports submitted in accordance with this Procedure;
• conduct test control of knowledge and interview;
• make decisions on the issues of assigning a qualification category to specialists.

18. The main form of activity of the attestation commission are meetings.

Meetings of the Committee are held, if necessary, by decision of the Chairman of the Committee, Meetings of the Expert Groups are held at least once a month.

The Committee and the Expert Groups independently determine the procedure for conducting their meetings and activities during breaks between meetings, taking into account the provisions of this Procedure.

The meeting of the Committee or the Expert Group shall be deemed competent if more than half of the members of the Committee or the Expert Group are present.

19. The decision of the Committee and the Expert Group is taken by open voting by a simple majority of votes of the members of the Committee or the Expert Group present at the meeting. In case of equality of votes, the vote of the chairman of the meeting of the Committee or the Expert Group is decisive.

When considering the issue of assigning a qualification category to a specialist who is a member of the certification commission, the latter does not participate in the voting.

The decision of the Committee and the Expert Group is documented in a protocol signed by all members of the Committee or the Expert Group who were present at the meeting of the Committee or the Expert Group.

A member of the Committee or an Expert Group who does not agree with the decision made has the right to express a dissenting opinion in writing, which is attached to the minutes of the meeting of the Committee or the Expert Group.

III. Certification

20. Specialists who have expressed a desire to undergo certification to obtain a qualification category, submit the following documents to the certification commission:

If there are documents issued in the territory of a foreign state and executed in a foreign language, the specialist shall submit a duly certified translation of documents into Russian.

1. application addressed to the chairman of the attestation commission , which indicates the surname, name, patronymic (if any) of the specialist, the qualification category for which he is applying, the presence or absence of a previously assigned qualification category, the date of its assignment, consent to receive and process personal data for the purpose of assessing qualifications, personal signature of a specialist and date;
2. a printed certification sheet, certified by the personnel department of the organization , carrying out medical or pharmaceutical activities, whose employee is a specialist, in the form according to the recommended sample (Appendix No. 1 to this Procedure);
3. report on professional activity (hereinafter referred to as the report), personally signed by a specialist, agreed with the head and certified by the seal of the organization engaged in medical or pharmaceutical activities, whose employee is a specialist (the report must contain an analysis of professional activities for the last three years of work - for specialists with higher professional education and for the last year of work - for specialists with secondary vocational education, including a description of the work performed, data on rationalization proposals and patents, conclusions of a specialist about his professional activity, proposals for its improvement);
4. copies of documents on education (diploma, certificates, certificates, certificates of a specialist), work book certified in the prescribed manner;
5. in case of change of surname, name, patronymic - a copy of the document confirming the fact of change of surname, name, patronymic;
6. a copy of the document on the assignment of the existing qualification category (in the presence of).

If the head of the organization engaged in medical or pharmaceutical activities, of which the specialist is an employee, refuses to approve the report, the specialist is issued a written explanation from the head of the organization engaged in medical or pharmaceutical activities, of which the specialist is an employee, about the reasons for the refusal, which is attached to the application for obtaining a qualification category .

1.3. The qualification exam aims to stimulate the growth of specialist qualifications, improve the selection, placement and use of personnel in the healthcare system of the Russian Federation, increase personal responsibility for the performance of professional and official duties.

1.4. The process of obtaining qualification categories is provided by attestation commissions and includes procedures for obtaining qualification categories - stages of assessing the conformity of professional knowledge and skills of specialists (hereinafter referred to as qualification procedures).

1.6. Principles of the qualifying examination:

• independence and objectivity of expert assessments;
• openness of qualification procedures;
• sequential assignment of qualification categories;
• observance of norms of professional ethics;
• compliance with a strict sequence of qualification procedures provided for by these Regulations;
• high qualification and competence of persons carrying out qualification procedures.

1.12. Attestation commissions carry out their activities in accordance with the sequence of qualification procedures established by these Regulations. Qualification procedures are aimed at assessing the professional qualifications and competence of specialists.

1.13. A specialist can receive a qualification category both in the main and in the combined specialty.

1.14. Qualification categories are assigned in accordance with the current nomenclature of specialties.

II. The procedure for obtaining qualification categories

2.1. Qualification categories are assigned to specialists who have a level of theoretical training and practical skills that correspond to the qualification characteristics of specialists, and professional experience:

• the second - at least three years for specialists with higher and secondary vocational education;
• the first - at least seven years for specialists with higher professional education and at least five years for specialists with secondary professional education;
• higher - at least ten years for specialists with higher professional education and at least seven years for specialists with secondary professional education.

2.2. When assigning qualification categories, the following sequence is used: second, first, highest.

2.4. The head of the organization in which the specialist carries out professional activities creates conditions for:

• submission by a specialist of qualification documentation drawn up in accordance with the requirements for completeness and correctness;
• interaction of the organization with the attestation commission regarding the procedure for obtaining a qualification category by a specialist;
• submission to the attestation commission of information on the number of specialists who carry out professional activities in a medical organization and have passed the procedure for obtaining a qualification category (indicating the attestation commission and the qualification category received), as well as specialists wishing to obtain (confirm) a qualification category in the next calendar year;
• notification of a specialist who has expressed a desire to obtain a qualification category.

2.5. The requirements specified in paragraphs 2.3 and 2.4 of these Regulations, in terms of the need to certify the documents submitted by the specialist and ensure the interaction of the organization with the certification commission, do not apply to specialists engaged in professional activities in the private healthcare system.

2.6. The documents that make up the qualification documentation must be neatly executed and bound.

2.7. Qualification documentation is sent to the certification commissions by mail, as well as directly by the specialist, an official of the organization authorized to interact with the organization in which the specialist carries out professional activities with the certification commission.

2.8. In order to preserve the previously assigned qualification category, the specialist sends the qualification documentation to the certification commission no later than four months before the expiration of the qualification category. When sending the examination documentation later than the specified date, the date of the qualification exam may be scheduled after the expiration of the qualification category.

III. The procedure for the meeting of attestation commissions

3.1. The meeting of the attestation commission is appointed within a period not exceeding three months from the date of registration of the examination documentation.

3.2. Specialists of federal state institutions under the jurisdiction of the Ministry of Health and Social Development of the Russian Federation submit qualification documentation to the Central Attestation Commission.

Specialists of state institutions under the jurisdiction of other federal executive authorities, executive authorities of the constituent entities of the Russian Federation submit qualification documentation to the relevant departmental attestation commissions.

Specialists who carry out medical and pharmaceutical activities in organizations of the state healthcare system of a constituent entity of the Russian Federation, the municipal healthcare system, as well as specialists engaged in professional activities in the private healthcare system, submit qualification documentation to the certification commissions of the constituent entities of the Russian Federation on the territory of which they operate.

3.3. The qualification documentation received by the attestation commission is registered in the document registration log (the recommended sample is given in Appendix No. 4 to this Regulation) after checking its compliance with the requirements for completeness and correct execution within 7 calendar days. If the qualification documentation does not meet the specified requirements, the person who submitted the qualification documentation (an official of the organization in which the specialist carries out professional activities, authorized to interact with the organization with the certification commission) is informed of the reasons for the refusal to accept the examination documentation with an explanation of the possibility of their elimination.

Refusal to accept the qualification documentation received by the attestation commission must be sent to the specialist no later than 14 calendar days from the date of receipt of the examination [probably qualification, but it is written in the original] documentation to the attestation commission.

To eliminate the shortcomings of the qualification documentation, the specialist is invited to eliminate the identified shortcomings within a month.

3.4. Control over compliance with the registration procedure, the requirements for completeness and correctness of the qualification documentation submitted to the certification commission is carried out by the executive secretary of the relevant certification commission.

3.5. The executive secretary of the attestation commission no later than one month from the date of registration of the qualification documentation determines the expert group of the attestation commission corresponding to the specialty (direction) declared in the qualification documentation, and coordinates with its chairman the terms of the qualification examination of a specialist.

3.6. Based on the results of consideration of the qualification documentation, the chairman of the expert group determines the members of the expert group for reviewing the report on the specialist's professional activities.

3.7. The chairman of the expert group determines the need to involve independent specialists (experts) in reviewing the report on the specialist's professional activities.

3.8. A review of a report on the professional activities of a specialist is signed by the members of the expert group participating in the review or by independent specialists (experts) and the chairman of the expert group.

3.9. The review should reflect:

• possession of modern methods of diagnosis and treatment, adequate to the qualification requirements for specialists of the second, first and highest categories;
• participation of a specialist in the work of a scientific society or a professional medical association;
• availability of publications and printed works;
• the duration and timing of the last advanced training;
• forms of self-education used by a specialist;
• compliance of the volume of theoretical knowledge, actually performed diagnostic and therapeutic practical skills with the qualification requirements for specialists in the declared qualification category.

3.10. The term for examination of qualification documentation by an expert group may not exceed 14 calendar days.

3.11. Based on the results of the review, the expert group prepares a conclusion on the assessment of the specialist's report and, together with the executive secretary of the attestation commission, determines the date of the meeting in the specialty stated in the qualification documentation.

The secretary of the expert group notifies the specialist of the date of the meeting.

3.12. As part of the meeting of the expert group, the specialist is tested and interviewed.

• Testing provides for the implementation of test tasks corresponding to the declared qualification category and specialty, and is recognized as a passed specialist, subject to at least 70% correct answers to test items.
• Interview provides for a survey of a specialist members of the expert group on theoretical and practical issues corresponding to the specialty declared in the qualification documentation.

3.13. At the meeting of the expert group, the secretary of the expert group keeps individual protocols of specialists undergoing qualification procedures (the recommended sample is given in Appendix No. 5 to these Regulations). Each individual protocol is certified by the members and the chairman of the expert group.

3.14. The decision on the compliance of a specialist with the declared category is made based on the results of testing, interviews and taking into account the assessment of the report on the professional activity of the specialist and is entered in the qualification sheet.

3.15. The expert group of the attestation commission at the meeting makes one of the following decisions:

• assign a second qualification category;
• improve the second qualification category with the assignment of the first;
• improve the first qualification category with the assignment of the highest;
• confirm the previously assigned qualified category;
• remove the first (highest) qualification category with the assignment of a lower qualification category;
• to deprive the qualification category (second, first, highest);
• reschedule certification;
• refuse to assign a qualification category.

3.16. When depriving, lowering or refusing to assign a higher qualification category, the individual protocol of a specialist indicates the reasons why the expert group of the attestation commission made the appropriate decision.

3.17. The assessment of the qualification of a specialist is adopted by open voting if at least 2/3 of the number of members of the expert group of the attestation commission are present at the meeting.

3.19. When deciding on the assignment of a qualification category to a specialist who is a member of the certification commission, the latter does not participate in the voting.

3.20. The specialist has the right to pass a re-qualification exam, but not earlier than one year after the decision on non-compliance with the qualification category is made.

3.21. Individual protocols of the examined specialists are sent to the executive secretary of the attestation commission for the preparation of the minutes of the meeting of the attestation commission (the recommended sample is given in Appendix No. 6 to these Regulations). The protocol of the meeting of the expert group is certified by the members of the expert group and approved by the deputy chairman of the attestation commission.

3.22. Substitution of a member of the expert group by another person who is not included in its composition is not allowed.

3.23. The draft order on the assignment of a qualification category is prepared by the executive secretary of the attestation commission on the basis of its decision. The body under which the attestation commission is established issues an order on the assignment of a qualification category within one month.

3.24. Within a week from the date of issuance of the order on the assignment of a qualification category, the executive secretary of the attestation commission draws up a document on the receipt of the qualification category, which is signed by the chairman of the attestation commission and certified by the seal of the body under which it was created.

3.25. A document on the assignment of a qualification category is issued to a specialist or a person authorized by him (on the basis of a power of attorney) upon presentation of an identity document of the recipient, or sent by postal service (with the consent of a specialist).

3.26. The issued document on the assignment of a qualification category is registered in the document registration log.

3.27. In case of loss of a document on the assignment of a qualification category, on the basis of a written request from a specialist to the certification commission, a duplicate is issued within a month. When it is issued, the word “Duplicate” is written on the left side at the top.

3.28. Qualification documentation, copies of orders for the assignment of qualification categories and other organizational and administrative documents relating to the work of the attestation commission are stored in the attestation commission for five years, after which they are subject to destruction in accordance with the established procedure.

3.29. The specialist has the right to familiarize himself with the documents submitted to him by the certification commission.

3.30. The decisions of the attestation commissions within thirty days from the date of their adoption can be appealed by sending an application with justification of the reasons for disagreement to the bodies under which the attestation commissions were created, as well as to the Central Attestation Commission.

3.31. In conflict cases, the employee may appeal the decision of the certification commission in accordance with the legislation of the Russian Federation.

3.32. Information (certificate, extract from the protocol, etc.) about specialists who have received a qualification category can be issued at the written request of the specialist himself or at the request of law enforcement agencies.

IV. Forms of work of the attestation commission

4.1. Certifying commission:

• analyzes the activities of specialists with higher and secondary vocational education who have submitted documents for obtaining qualification categories;
• summarizes the experience of work and implementation of qualification procedures and provides an annual report to the body under which it was created;
• considers the need for off-site meetings.

4.2. The need for an off-site meeting is determined by the attestation commission on the basis of petitions from organizations and other structures representing the interests of specialists. When studying the issue of the need to hold an on-site meeting, the attestation commission has the right to request data on the quantitative composition of specialists wishing to obtain a qualification category and the specialties (directions) declared for the qualification exam.

4.3. The chairman of the attestation commission sends to the body under which the attestation commission is created, the rationale for the need (absence of the need) to hold an offsite meeting of the attestation commission.

4.4. When preparing a justification on the need (lack of need), the following are taken into account:

• the level of workload of the expert groups of the certification commission and their members at the main place of employment;
• circumstances due to which specialists wishing to pass the qualification exam cannot appear at the meeting place of the attestation commission;
• the quantitative composition of specialists wishing to pass the qualification exam;
• information on the qualifications of these specialists, provided by the organizations in which they carry out their professional activities;
• the possibility of compliance with the requirements, including the qualification procedures established by these Regulations, during the off-site meeting of the attestation commission.

4.5. The body under which the attestation commission is established makes a decision to hold an offsite meeting of the attestation commission and approves by its order the personal composition of the attestation commission and expert groups, the timing of the offsite meeting of the attestation commission and its tasks.

According to Order No. 377, wage categories according to the UTS are established for this category of workers, taking into account the qualification category, within 5 years from the date of issuance of the order of the health authority (institution) on awarding the qualification category.

Three months before the expiration of the qualification category, the employee has the right to apply in writing to the certification commission for recertification in the manner prescribed by the Order of the Ministry of Health of the Russian Federation dated August 9, 2001 No. 314 "On the procedure for obtaining qualification categories" (hereinafter - Regulation No. 314).

The attestation commission is obliged to consider them within three months from the date of receipt of attestation materials for the assignment of a qualification category.

If there is a good reason, on the proposal of the head of the institution, the term for recertification of a specialist may be postponed for three months. During this time, the employee is paid a salary based on the qualification category.

If a specialist refuses the next recertification, then the previously assigned qualification category is lost from the moment the five-year period for its assignment expires.

In accordance with Regulation No. 314, when obtaining a qualification category, the professional qualifications, competence of the employee, as well as his ability to perform official duties in accordance with the position held are assessed.

A specialist has the right to obtain a qualification category in specialties that correspond to both the main and combined positions.

Specialists who have expressed a desire to obtain a qualification category must submit the following documents to the certification commission: an application, a completed certification sheet and a work report for the last three years - for specialists with higher professional education and for the last year - for employees with secondary professional education, approved the head of the organization in which the specialist works.

The attestation sheet is filled out in the form provided for in Appendix No. 1 to Regulation No. 314.

CERTIFICATION SHEET

1. Surname, name, patronymic ____________________________________________

2. Year of birth ________________ 3. Gender __________________________

4. Information about education _______________________________________

(educational institution, year of graduation)

(specialty by education, no. of diploma, date of issue)

Information about postgraduate and additional professional education (internship, clinical residency, postgraduate studies, advanced training)

Type of education	Year of study	Place of study

5. Work upon graduation from the university (according to the records of the work book and certificates of part-time work):

(position, name of institution,

location)

from _________ to _________ _____________________________________________

from _________ to _________ _____________________________________________

from _________ to _________ _____________________________________________

from _________ to _________ _____________________________________________

from _________ to _________ _____________________________________________

6. Work experience in healthcare facilities ___ years.

7. Specialty _________________________________________________

(according to certification profile)

8. Work experience in this specialty _________ years.

9. Other specialties _______ Work experience - _______ years.

11. Qualification categories for other specialties

_________________________________________________________________

(indicate existing, year of assignment)

12. Academic degree _________________________________________________

(year of assignment, diploma number)

13. Academic title __________________________________________________

(year of assignment, diploma number)

14. Scientific works (printed) _______________________________________

15. Inventions, rationalization proposals, patents _________ ____

__________________________________________________________________

(registration numbers of certificates, date of issue)

16. Knowledge of a foreign language ______________________________________________

17. Honorary titles ______________________________________________

18. Business address, phone number _____________________________________

19. Home address, telephone ______________________________________

20. Characteristics for a specialist:

__________________________________________________________________

(The performance of a specialist, business and professional qualities (responsibility, exactingness, volume and level of skills, practical skills, etc.): medical errors that led to undesirable consequences, knowledge and use of deontological principles, increasing professional competence, using modern achievements in medicine and etc. Sections of the specialty, methods, techniques that the specialist is fluent in, unique methods, techniques, technologies mastered by the specialist, etc.).

Head of the organization _____________ __________________________

Place of printing Date

21. Conclusion of an independent specialist of the attestation commission on

report on the activities of the doctor:

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

____________________________________ ____________________________

(signature of an independent specialist) (last name, first name, patronymic)

A specialist has the right to submit an application for confirmation of an existing qualification category or for obtaining a higher one to the certification commission three months before the expiration of the qualification category.

In accordance with paragraph 2.3. Regulations No. 314, the specialist has the right to:

“- obtain a qualification category in the attestation commission established in accordance with this regulation;

- get acquainted with the documents submitted to the attestation commission;

- get a written explanation from the manager, if the manager refuses to sign the work report;

- undergo advanced training in the specialty;

- apply with an application to the Central Attestation Commission or the body under which the Attestation Commission was created, in case of disagreement with the decision of the Attestation Commission.

To exercise the rights of specialists to obtain a qualification category, the following attestation commissions can be created:

· Central Attestation Commission - Ministry of Health of the Russian Federation;

Attestation commissions - by the health authorities of the constituent entities of the Russian Federation, the Federal Directorate of Biomedical and Extreme Problems under the Ministry of Health of the Russian Federation, centers of state sanitary and epidemiological surveillance in the constituent entities of the Russian Federation;

· attestation commissions in healthcare institutions, educational and scientific medical institutions - by the Ministry of Health of the Russian Federation, other ministries and departments according to their subordination.

The structure and composition of the attestation commission is determined and approved by the body under which it was created.

In its activities, the certification commission must be guided by the current legislation of the Russian Federation, the regulatory legal acts of the Ministry of Health of the Russian Federation, Regulation No. 314, as well as the orders of the body under which it was created.

In accordance with paragraph 3.4. Regulations No. 314 by the certification commission:

The order, procedures and methods of work of the commission are determined;

Independent specialists are involved to give opinions on the work reports;

Submitted documents are considered within two months from the date of their receipt (registration);

Decisions are made on the assignment, confirmation or removal of qualification categories;

A certificate of the established form is issued, and, if necessary, an extract from the order on obtaining a qualification category is provided;

Business is underway.

A sample certificate is presented in Appendix No. 2 to Regulation No. 314.

CERTIFICATE No._____

__________________________________________________________________

(Full Name)

__________________________________________________________________

Solution __________________________________________________________

(name of the attestation commission)

__________________________________________________________________

dated _____________________ protocol No. _____________________

assigned ___________________ qualification category

by specialty ________________________

Order ___________________________________________________________

(indicate the name of the health authority (institution))

dated _________________ №________________

________________________________ ___________________________

(position of the head of the body (surname, name, patronymic)

(health institutions)

Qualification is assessed and recommendations are given for further professional training of a specialist by voting in the presence of at least 2/3 of the number of members of the approved composition of the certification commission. The results are determined by a majority of votes from the number of members of the commission present, and in the event of an equality of votes, the decision is considered adopted in favor of the specialist.

If a decision is made to assign a qualification category to a specialist who is himself a member of the attestation commission, then this specialist does not participate in the voting.

The decision of the attestation commission is drawn up in a protocol, which is signed by the chairman of the commission, the secretary and members of the attestation commission who took part in the meeting. The form of the protocol is provided by Appendix No. 3 to Regulation No. 314:

PROTOCOL

MEETINGS OF THE CERTIFICATION COMMISSION

__________________________________________________________________

(name of the body under which the commission was created)

№______ Date ___________

Chairman _____________________________________

Secretary ________________________________________

Commission members present:

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

Heard: About the assignment of ____________________________________________

(Full Name)

Questions to a specialist and evaluation of answers

1. __________________________ ______________________ complete, incomplete, incorrect

(emphasize)

2. __________________________ ______________________________ complete, incomplete, incorrect

(emphasize)

3. __________________________ _______________________ complete, incomplete, incorrect

(emphasize)

4. __________________________ _______________________ complete, incomplete, incorrect

(emphasize)

5. __________________________ ______________________________ complete, incomplete, incorrect

(emphasize)

6. _________________________________________________ complete, incomplete, incorrect

(emphasize)

Decision of the attestation commission:

Assign _______________ qualification category

(specify which one)

Confirm ______________ qualification category

by specialty _____________________________________________

(specify which one)

Remove ________________ qualification category

(specify which one)

by specialty _____________________________________________

Refuse to assign (confirm) ________________________

Specialist __________________________________________________

(Full Name)

issued certificate No. ______________ on assignment (confirmation)

Qualification category

(specify which one)

by specialty _________________________________________________

(specify which one)

Comments, suggestions of the attestation commission ___________________

__________________________________________________________________

__________________________________________________________________

Comments, suggestions of the certified specialist __________________

__________________________________________________________________

__________________________________________________________________

Order ___________________ dated ______________ No. ___________________

Chairman of the attestation commission ___________ _________________________

(signature) (surname, name, patronymic)

Secretary of the Attestation Commission ___________ ____________________________

(signature) (surname, name, patronymic)

The body under which the attestation commission is created, within one month, issues an order to assign a qualification category to a specialist. This order is brought to the attention of the specialist, as well as to the head of the healthcare institution.

If the specialist disagrees with the decision of the attestation commission, the latter may be appealed by the specialist to the Central Attestation Commission of the Ministry of Health of the Russian Federation within a month from the date of the decision.

For more information on issues related to the application of the tariff system of remuneration and its constituent elements for remuneration of employees of medical institutions, you can find in the book of CJSC “BKR-Intercom-Audit” “Work of medical workers. Legal regulation. Practice. The documents ".

MINISTRY OF HEALTH OF THE RUSSIAN FEDERATION

MUZ dental clinic №2

REPORT ON THE WORK OF A DENTIST

FOR 2008 - 2010

MATVEEVA VALENTINA IOSIFOVNA

Kaliningrad - 2011

Report plan

1. General information ………………………………………………. 3

2. Cabinet equipment and organization of work in

dental office…………………………….. 4

3. The work of a dentist at a therapeutic

reception. ………………………………………………………………5-19

4. Sanitary and educational work … ………………… 19-20

5. Sanitary and epidemiological mode of operation

Cabinet……………………………………………………….. 21-22

6. Conclusions ……………………………………………………… 23-28

1. General information

I have been working in the dental clinic No. 2 since August 1991. Polyclinic No. 2 provides therapeutic and preventive dental care to the adult population.

The clinic is located in a two-story adapted building at the address: st. Proletarskaya d.114. The polyclinic has a compressor room for supplying compressed air to dental units, a centralized washing and sterilizing room, a physiotherapy and X-ray room, and a reception desk. The polyclinic works in two shifts from 7.45 to 20.15 Saturday from 9.00 to 15.00. There are 2 medical departments and one denture department. In the medical departments there are 6 therapeutic rooms, 1 surgical room, 1 periodontal room, and an acute pain room. Treatment rooms are equipped with modern dental drills. Compressed air is centrally supplied to all turbine units.

2. Equipment of the office and organization of work in the dental office

The office in which I receive dental patients meets sanitary and hygienic standards. Equipped with a dental unit "Marus". There is cold and hot water, the necessary tools, a set of modern domestic and imported anesthetics and filling materials.

The load at the reception consists of primary coupons and repeated patients.

I work on the principle of the maximum number of sanitation at the first visit.

The main tasks at the reception are:

1. Provision of qualified assistance to the population.

2. Carrying out sanitary and educational work, teaching oral hygiene.

3. Prevention of dental diseases.

3. The work of a dentist at a therapeutic appointment.

In recent years, the work of a dentist has undergone significant changes due to the use of:

1. Turbine installations, which makes it possible to use modern filling materials and makes the preparation of hard tooth tissues painless and fast.

2. More effective pain relief (alfacain, ultracain, orthocoin, ubestezin).

3. Modern filling materials (composites of light and chemical rejection).

4. Endodontic filling material: pastes for filling tooth canals with antiseptic, anti-inflammatory, restorative properties, gutta-percha pins and endodontic instruments.

I see patients with the following conditions:

1. Carious damage to the tissues of the tooth.

2. Complicated forms of caries.

3. Traumatic damage to the teeth.

4. Non-carious lesions of dental tissues.

5. Combined destruction of tooth tissues.

The office has a set of domestic and imported filling materials. Of the domestic ones, I most often use the following materials: unifas, phosphate cement, silidont, silicin, stomafil for fillings.

In case of deep caries, for medical pads I use drugs that have an anti-inflammatory effect and promote the formation of replacement dentin: calmecin, calradent, life, dykal.

In my work I prefer composite filling materials. Glass ionomer cements stabilize the process due to the fact that fluorine ions are released from them for a long time. I use cements such as stomafil, ketak molar, wind meter. These cements are used as cushioning, medical and restorative. Their advantages: ease of use, increased adhesion, biocompatibility with tooth tissues, high fluoride release, low solubility, strength.

Composite materials apply chemical and light curing.

From chemical available: alphadent, unifil, kompokur, charisma, etc.

From light-cured : herculite, filtek, valux, filtek-suprem, point, admira.

They have the following positive properties: color stability, good marginal fit, strength, good polishability.

Requirements for composite materials:

1. Good adaptation.

2. Water resistance.

3. Color stability.

4. Simple application technique.

5. Satisfactory mechanical strength.

6. Sufficiency of working hours.

7. Required depth of cure.

8. R-contrast.

9. Good polishability.

10. Biological tolerance.

Standard scheme for the use of composite materials:

1. Preparation of a carious cavity.

2. Color choice.

3. Applying a gasket.

4. Pickling.

5. Neutralization of acid.

6. Drying.

7. Adhesive application.

8. Restoration of the anatomical shape of the tooth.

9. Toning of the filling.

10. Strict adherence to instructions.

Composites classification

Curing method Purpose

Chemical Light Class A

Powder + curable for cavities I and II class.

Liquid one paste Class B

Paste-paste for cavities III and

The most common disease in dental practice is dental caries.

The most common classification is clinical and anatomical, which takes into account the depth of the spread of the carious process:

dental caries in the stain stage;

fissure caries;

superficial caries;

average caries;

deep caries.

Anatomical classification of cavities according to Black, taking into account the surface of localizations of the lesion:

1 class- localization of carious cavities in the area of ​​natural fissures of molars and premolars, in blind pits of incisors and molars.

Grade 2- on the lateral surfaces of molars and premolars.

3rd grade- on the lateral surfaces of incisors and canines without violating the integrity of the cutting edge.

4th grade- on the lateral surfaces of incisors and canines with violation of the integrity of the angle and cutting edge of the crown.

5th grade- in the cervical region.

Basic principles and sequence of local treatment of caries:

1. Anesthesia. The choice of anesthesia method is determined by the clinical and individual characteristics of the patient. The workplace has both domestic and imported anesthetics.

At present, we can firmly say that the problem of painless dental treatment has been solved. The used painkillers based on articaine relieve pain both in the treatment of caries of any localization and depth of the cavity, and all forms of pulpitis. Efficiency approaches 100%. In the upper jaw, infiltration anesthesia is mainly used in the region of the root apex. On the lower jaw, the greatest effect is achieved by anesthesia near the condylar process of the lower jaw. Method: with the mouth as open as possible, the needle was injected 2 cm above the masticatory surface of the lower molars - up medially in the direction of the auditory canal. The duration of anesthesia is 2-4 hours.

2. Opening of the carious cavity: removal of the overhanging edges of the enamel, which allows you to expand the inlet into the carious cavity.

3. Expansion of the carious cavity . The enamel edges are aligned, the affected fissures are excised.

4. Necroectomy . Removal of all affected tissues from the cavity and the use of a caries detector to identify the affected dentin and leaving no traces in healthy areas.

5. Formation of a carious cavity. Creation of conditions for reliable fixation of the seal.

The task of operational technology- formation of a cavity, the bottom of which is perpendicular to the long axis of the tooth (it is necessary to determine the direction of inclination), and the walls are parallel to this axis and perpendicular to the bottom. If the inclination to the vestibular side - for the upper chewing teeth and to the oral - for the lower ones is more than 10-15 °, and the wall thickness is insignificant, then the rule for the formation of the bottom changes: it should have an inclination in the opposite direction. This requirement is due to the fact that occlusal forces directed to the seal at an angle and even vertically have a displacing effect and can contribute to the spallation of the tooth wall. This requires the creation of an additional cavity in the direction of the bottom to distribute the forces of masticatory pressure on thicker and, consequently, more mechanically strong tissue areas. In these situations, an additional cavity can be created on the opposite (vestibular, oral) wall along the transverse intertubercular groove with the transition to the side of the main cavity. It is necessary to determine the optimal shape of the additional cavity, in which it is possible to achieve the greatest effect of redistribution of all components of masticatory pressure with minimal surgical removal of enamel and dentin and the least pronounced reaction of the pulp.

The regularity of the action of forces of masticatory pressure on the tissues of the tooth and filling material.

a - the tooth is located vertically; b - the tooth has an inclination.

R, Q, P - direction of forces.

Often the pathological process goes beyond the carious cavity and the pulp and periodontium are involved in the process.

In recent years, the emotional perception of visiting the dentist's office has changed for the better thanks to the use of modern painkillers based on articaine. Low toxicity of the drug, rapid penetration into tissues, rapid removal from the body, high anesthetic effect allows the treatment of dental patients in a wider range: pregnant women, the elderly, children. Ultracaine does not contain a preservative that causes allergic reactions. The concentration of metabisulphate-antioxidant, a substance that prevents the oxidation of adrenaline, is minimal and is 0.5 mg per 1 ml of solution. Ultracaine is 6 times more effective than novocaine and 2-3 times more effective than lidocaine, the rapid onset of anesthesia is 0.3-3 minutes. allows you to maintain a favorable psycho-emotional background, the possibility of replacing conduction anesthesia with infiltration when working on the lower jaw. The properties of ultracaine listed above make it possible to use it in a wide range of dental diseases, in particular in the treatment of pulpitis.

Classification of pulpitis:

limited;

diffuse.

2. Chronic

fibrous;

· gangrenous;

hypertrophic.

3. Exacerbation of chronic pulpitis

Pulpitis treatment:

I. Without pulp removal.

1. Preservation of the entire pulp.

2. Vital amputation.

II. With the removal of the pulp.

1. Method of vital extirpation.

2. Method of devital extirpation.

3. Method of devital ammutation.

The canal is sealed, not reaching the top of 2 mm (data from MMSI named after Semashko), taking into account the state of the perapical tissues. Filling materials

1. Plastic:

non-hardening;

hardening.

2. Primary hard.

Plastic hardening materials called endo-sealers or sealers.

They are divided into several groups:

1. Zinc phosphate cements.

2. Preparations based on zinc oxide and eugenol.

3. Materials based on epoxy resins.

4. Polymeric materials containing calcium hydroxide.

5. Glass ionomer cements.

6. Preparations based on resorcinol-formalin resin.

7. Materials based on calcium phosphate.

Canal filling can be done using modern pastes and gutta-percha pins. In my practice, I most often use endomethasone, zinc-eugenol paste and paste based on resorcinol-formalin resin. I would especially like to note the work with endomethasone.

Endomethasone is a filling paste containing hormonal preparations, thymol, paraformaldehyde on a liquid basis of eugenol, anise drops. When filling the canals with this paste, a good therapeutic effect is achieved. The antibacterial properties of formaldehyde make it possible to use it in the treatment of chronic periodontitis with bone destruction at the root tips. Hormonal drugs reduce pain and inflammation, act plastically on the periodontium.

I perform root canal filling using the lateral condensation method, which is as follows.

1. Selection of the main gutta-percha pin (Master point).

A standard gutta-percha post of the same size as the last endodontic one, which was used to process the apical part of the canal (Masterfile), is taken and fitted in the canal. The pin does not reach the physiological tip by 1mm.

2. Selection of a spreader.

The spreader is selected the same size as the Master file, or one size larger so as not to go beyond the apical hole. The working length of the spreader should be 1-2mm. shorter than the working length of the canal.

3. Introduction to the channel of endosealant.

As an endosealant, I use AN +, endomethasone. The material is introduced into the canal to the level of the apical foramen and is evenly distributed along the walls of the canal.

4. Introduction of the main pin into the canal.

The pin is covered with filling material and slowly inserted into the canal to its working length.

5. Lateral condensation of gutta-percha.

A previously selected spreader is inserted into the root canal, while the gutta-percha is pressed against the canal wall.

6. Removing the spreader and inserting an additional pin.

7. Lateral condensation of gutta-percha, removal of the spreader and insertion of the second additional pin.

The operation is repeated until the canal is completely obturated, i.e. until the spreader stops penetrating the canal.

8. Removal of excess gutta-percha and paste.

9. X-ray quality control of filling.

10. Applying a bandage.

Classification of periodontitis:

I. Acute periodontitis

· serous;

purulent.

II. Chronic periodontitis

fibrous;

· granulating;

granulomatous.

III. Exacerbation of chronic periodontitis.

Acute periodontitis and exacerbation of chronic periodontitis of single-rooted teeth are treated under anesthesia in one visit using one of the listed pastes and gutta-percha pins, and sent to the surgical room for an incision in the projection of the root apex.

Treatment of destructive forms of periodontitis is carried out in several stages. For temporary canal filling, I use calcium-containing preparations: "Kollapan", "Kalasept", which allow you to successfully cope with the periapical infection and destruction of bone tissue. Repeat R-images after 6 months show either a decrease in bone destruction or restoration of the structure of the bone trabeculae, which later form the bone, which depends on the state of the immune system of this patient. If the conservative method did not lead to the desired effect, then the patient is sent to the surgical room to remove the cyst or cystogranuloma.

I check the long-term results in 3-6 months together with the surgeon. After the operation, the teeth become immobile, and after 3-6 months, bone tissue is visible in the place of the cyst in the R-image.

In the treatment of teeth with impassable root canals, I use copper-calcium hydroxide depophoresis. In addition, this method is used in case of severe infection of the contents of the canal, breakage of the instrument in the lumen of the canal (without going beyond the apex).

While working with the patient, I explain to him the chosen method of treatment and possible complications, the need to remove the roots and timely prosthetics. I explain the impact of bad habits on the state of the oral cavity.

The constant improvement of the equipment of the office and clinic with equipment and dental materials allows us to receive patients at the modern level.

Working with modern filling materials

Filling is the final stage in the treatment of caries and its complications, which aims to replace the lost tooth tissue with a filling.

The success of treatment largely depends on the ability to choose the right material and use it rationally.

Recently, light-cured composite materials have become widely used, which perfectly imitate tooth tissues in a number of indicators. Properties such as color gamut, transparency, abrasion resistance and polishability have greatly expanded the possibilities of restoring teeth without prosthetics. The process of restoring damaged teeth directly in the oral cavity in one visit is called restoration.

Filling is a purely medical procedure, while restoration combines elements of medical and artistic work.

Stages of restoration (filling):

1. Patient preparation.

2. Tooth preparation.

3. Restoration (filling).

It is necessary to teach the patient how to properly brush his teeth, remove dental deposits, if necessary, send him to a periodontal office. All surgical interventions should be carried out before treatment. The improvement of gum tissue is also important because the maximum effect is achieved with a combination of even healthy teeth and pale pink gums.

The main requirement for the restoration of teeth with light-curing materials is the exact and methodical observance of the instructions. Only when all the technological steps are completed, the necessary adhesion of the composite to the tooth tissues will be achieved and a good cosmetic result will be obtained. Despite some differences in the use of composites from different companies, there are general principles of work.

Preparation of a tooth for restoration includes the following manipulations:

1. Removal of altered tissues.

2. Formation of the edges of the enamel.

3. Removal of plaque from the surface of the tooth.

4. Opening of prisms.

5. Isolation from moisture and drying.

6. Applying a gasket.

7. Formation of the basis of the restoration.

8. Etching of tooth enamel.

9. Primer application.

10. Adhesive application.

It is necessary to stop at some stages of tooth preparation, namely, the opening of enamel prisms. This somewhat conventional expression implies the removal of the superficial thinnest structureless layer of enamel, which covers the prism beams. It is believed that the removal of the structureless layer and subsequent etching of the enamel with acid will create favorable conditions for fixing the composite. It is especially important to do this in cases where the composite is applied to a significant surface of the enamel (with hypoplasia, erosion, chipping of part of the crown).

Etching of tooth enamel produced in accordance with the instructions attached to the material. It should be remembered that excessive etching should not be allowed, since the changing structure of the enamel does not provide optimal adhesion conditions. Careful removal of the acid or gel is very important. In terms of time, the washing of the etching area should be at least 20 seconds. This is followed by thorough air drying.

Etching of dentine is carried out simultaneously with etching of enamel. This achieves the removal of the smeared layer and the formation of inter-collagen spaces, which are filled with a primer.

The primer is applied with a clean brush dentin, and after 30 sec. air from the gun removes excess volatile components of the preparation, the primer getting on the enamel does not affect the adhesion of the composite.

Application of adhesive is the final step in preparing the tooth for filling. The adhesive is introduced into the cavity with a brush and then with an air jet

evenly distributed along the walls. If the adhesive is chemically cured (two-component), then it does not need to be illuminated, but if it is light-cured (one-component), then it is reflected by the lamp. Usually it is 10 sec.

Restoration (filling) of the tooth

This stage includes:

1. Anchor introduction.

2. Application of the composite.

3. Curing of the composite.

4. Formation of the surface of the restoration.

5. Finishing reflection.

1. With a significant destruction of the tooth, I use anchor pins. Anchor pins are of various types, sizes - length and diameter of the section vary from 1 to 10 units. An important stage of restoration is the fitting of the anchor. The anchor must fit snugly into the channel to a certain depth. I think the most optimal is 2/3 of the root in the anterior group of teeth and up to ½ in the lateral ones. Anchor pins are screwed in until they stop, with a special tool, dissolving the petals. I always cover the anchors with light-cured material Opak to avoid its translucence through the layer of the main composite.

2. The introduction of the composite is carried out using trowels that do not have defects. With deep cavities, the composite is applied in layers (up to 3 ml). This is especially important with light curing materials. The “lunge” formed on the surface of the composite, called the “oxygen-inhibited layer”, ensures the connection of the layers of the composite without adhesive. This layer cannot be damaged - washed, polluted. The curing of the material is associated with shrinkage that appears in the direction away from the light source.

3. The next step is grinding and polishing. First of all, it is necessary to remove excess materials with the help of burs. It is important to create the main details of the surface shape: the longitudinal stripes of the incisors, the cusps and the fissures of the molars. After correcting errors and refinishing, the surface of the restoration is polished with plastic or rubber heads. Contact surfaces are polished using strips and flosses. The final processing of the restoration is carried out using sponges and polishing pastes. At the end of the work, a final reflection is carried out. The maximum effect is achieved with a perpendicular position of the light beam.

4. Sanitary and educational work

For any country, preventing a disease is cheaper than treating it, so health education should be a state program.

The dentist is obliged to conduct sanitary and educational work with the population. 70% of the condition of the oral cavity depends on the patient himself. First of all, how and with what he brushes his teeth. In domestic pastes, highly alkaline chalk with low whiteness and a high content of highly abrasive oxides of aluminum and iron is used. Therefore, our pastes do not foam well and have a grayish color. If they are used constantly, they can lead to thinning of the enamel. The chalk used by Western firms is devoid of these shortcomings. Antimicrobial components, plant extracts, mineral resins, fluorine are introduced into the pastes.

Russian, Bulgarian, Indian pastes are 90% hygienic.

I recommend Colgate, Blend and Honey, Signal, Pepsodent pastes to my patients. These pastes contain chlorhesedin - which helps fight bacterial plaque, cleaning agents, fluorine. The effectiveness of fluorinated pastes in the fight against caries is 30%.

I have conversations with patients. List of conversations:

1. Oral hygiene.

2. How to choose the right toothbrush and paste.

3. Prevention of dental diseases.

I conduct explanatory work about bad habits.

For three reporting periods, I prepared and heard at medical conferences abstracts on the topic:

1. HIV infection in the oral cavity.

2. Root canal treatment technique.

3. Mistakes and complications during canal instrumentation.

5. Sanitary and epidemiological regime in the office

The dental office where I work complies with sanitary standards (24 sq.m.). Availability of cold and hot water. The cabinet is equipped with a bactericidal lamp, which is turned on 3 times a day for 30 minutes. There are centralized air sterilizers. They keep a log of their work. I use disposable masks, gloves, goggles.

Daily three times wet cleaning using 5% lysitol or alominal 5% or septodor-forte.

General cleaning once a month.

The rules of personal hygiene and measures for the prevention of self-infection of AIDS and VG "B" are observed. If blood gets on the intact skin of the hands, the blood should be removed with a dry swab, then wiped with a 70 ° alcohol solution or 0.5% alcohol solution of chlorhexidine 2 times, wash hands with soap and treat with alcohol.

If blood has got on damaged skin, it is necessary to squeeze out blood from the wound, lubricate with 5% iodine solution, wash hands with soap and treat with 70% alcohol solution.

All manipulations with patients are carried out in rubber gloves, mask, glasses.

If saliva gets on the mucous membranes of the eyes, they must be washed with a stream of water or a 1% solution of boric acid and a few drops of silver nitrate should be introduced. It is recommended to treat the nasal mucosa with a 1% solution of protargol, the mouth and throat additionally (after rinsing with water) with a 70% alcohol solution or a 1% solution of boric acid.

After removing gloves, hands are treated with 70% alcohol and soap.

Tips for drills, emptyers, ultrasonic instruments, needleless syringes after each patient are wiped with a sterile swab moistened with 70% alcohol (twice). At the end of the shift in 6% hydrogen peroxide for 1 hour.

The viewing mirrors are collected in a storage glass with a 6% hydrogen peroxide solution, then washed with water, a detergent-disinfectant solution for 15 minutes, rinsed, dried with a swab and immersed in a 0.5% alcohol solution of chlorhexidine or 70% alcohol for 30 minutes. After that, "clean mirrors" are transferred to the container.

Modern aseptic solutions, such as septador-forte, lysitol (5%), do not require pre-treatment with a cleaning solution.

Burs - after use, they are immersed in a container with a solution of septador-forte for 1 hour. After rinse with a brush with a swab for 3-5 minutes. After that, the burs are subjected to pre-sterilization treatment and exposure for 15 minutes. The burs are then washed with a brush. Irrigation for 10 minutes with distilled water, air sterilization method at a temperature of 180 ° and 1 hour in a Petri dish. Used burs are placed in the "Bar Disinfection" container.

All other instruments used in the treatment are subject to a full cycle of processing for the prevention of viral hepatitis and AIDS. Immediately after use, the instruments are rinsed in a disinfectant solution marked "Rinse in disinfectant solution" and immersed in the "Instrument Disinfection" container with lysitol or alominal for 1 hour. Then they are washed under running water for 3-5 minutes.

All instruments, including pulp extractors and canal fillers (newly obtained) are subject to disinfection with alcohol, washing with water, pre-sterilization treatment and sterilization.

There should not be anything superfluous on the doctor's table. The table should be wiped with a 6% hydrogen peroxide solution or disinfectant.

Cotton swabs must be sterile (steam sterilization at a temperature of 120 degrees for 20 minutes, change after 6 hours).

conclusions

The reforms carried out in our country since the 90s have also affected the dental service – market factors began to work, competition appeared, the opportunity for patients to choose a clinic and an attending physician.

At present, we can firmly say that the problem of painless dental treatment has been solved. Pain medications used

"Ultracain" relieve pain both in the treatment of caries of any localization and depth of the cavity, and all forms of pulpitis. Efficiency approaches 100%.

In the competitive struggle for patients, attention should be paid to the provision of highly qualified dental care in the shortest possible time, as a result of which the number of visits to the dentist is reduced to a minimum due to the effective use of modern technology and materials; somehow carpool anesthesia, which allows you to completely remove the patient's sensitivity to the instrumental manipulations of the doctor and the restoration of teeth with composite materials, whose advantage is that the work is carried out in one visit and the patient does not experience discomfort associated with the presence of turned teeth. Once every six months, the patient visits the dentist to polish the surface.

When carrying out restoration work, high-class materials and equipment are used that allow opening the tooth cavity without vibrations.

Among the patients of dental clinics and offices, interest in the aesthetic side of dental treatment has recently increased, the desire to have fillings that do not differ in color from natural teeth.

In this regard, training in methods of working with composite materials remains a serious problem. At present, the creation of the image of a highly qualified specialist is impossible without the introduction of light-cured composite materials of new generations into practice.

Participation in all-Russian dental forums, seminars for dentists, medical conferences in the clinic allows us to become more familiar with the achievements in dentistry, and also gives us the opportunity to master modern methods of treating dental diseases.

For three reporting years 2002 - 2004 at a therapeutic appointment.

Working day	165	134	187
Accepted patients	1894	1425	1526
Accepted primary patients
Filled teeth (total)	1930	1465	1767
Filled teeth for caries	1540	1167	1315
Complicated forms of caries	390	298	452
Teeth cured in one visit complicated	283	223	290
Total sanitized	228	133	150
Developed by UET	8101,95	6900,25	10446,45
YET for 1 visit.	4,3	4,8	6,8
UET for 1 sanitation	35,5	51,8	69,6

QUALITATIVE INDICATORS

CONCLUSIONS

1. There is a decrease in the number of working days in 2003, as the polyclinic was undergoing a major overhaul. This was also affected by an increase in the number of vacation days in connection with the provision of 12 additional days for working with hazardous materials.

2. In 2003, there was a decrease in the number of admitted patients per day due to the reconstruction of the polyclinic, the re-equipment of offices with modern dental units. In their work, they

more modern light-polymer materials are used, which require more time for this work.

3. The number of fillings delivered per day has decreased due to preventive and restoration work using modern light-polymer materials, which require more time to work with.

4. Treatment for caries decreased by 14.6%, as the treatment of teeth with complicated forms of caries on previously treated teeth by amputation methods and overtreated root canals increased by 15.8%.

5. The rate of treatment of teeth with complicated forms of caries has increased due to the use of modern endodontic instruments, filling materials for root canals.

6. The use of modern anesthetics and endodontic instruments made it possible to use the method of one-session treatment of complicated forms of caries more widely compared to 2003 by 10.5% in 2004. More than 64% of complicated forms of caries are treated in 1 visit.

7. Patients are admitted mainly by appointment. This may explain the decline in the number of sanitized patients.

8. To increase the amount of UET per day in 2004. the transition of work by order No. 277 and the treatment of complicated forms of caries in 1 visit affected.

9. Due to the use of modern filling materials, endodontic instruments, depophoresis, which require repeated visits to the dentist, the SU has increased by 1 sanitation. This was also affected by work on order No. 277.

In 2004 the number of teeth cured by a conservative method for chronic granulomatous periodontitis has increased due to the use of modern filling materials for root canals, which contain calcium-containing preparations in their composition.

If in 2002 11 teeth with DS were successfully treated by a conservative method: chronic granulomatous periodontitis, then already in 2004. 19 teeth. In the treatment of these teeth, the depophoresis method was also used. The use of the depophoresis method and calcium-containing preparations makes it possible to successfully cope with periapical infection and bone tissue destruction. Repeated R-shots after 6 months show a decrease in bone tissue destruction. Of the 19 teeth, after 12 months, 14 have a restoration of the structure of the bone trabeculae, and after 24 months, a complete restoration of the bone structure in all treated teeth with DS: chronic granulomatous periodontitis.

Appendix to the order of the Ministry of Health and Social Development of the Russian Federation of July 25, 2011 (registered with the Ministry of Justice of the Russian Federation on September 23, 2011 Registration N 21875. Published in "RG" N 216 of September 28, 2011 on p. 21)

I. General provisions

1.1. The Regulation on the procedure for obtaining qualification categories by medical and pharmaceutical workers (hereinafter referred to as the Regulation) determines the procedure for obtaining qualification categories by medical and pharmaceutical workers (hereinafter referred to as specialists).

1.2. Obtaining qualification categories by specialists is carried out on the basis of checking the conformity of professional knowledge and their professional skills (hereinafter referred to as the qualification exam).

1.3. The qualification exam aims to stimulate the growth of specialist qualifications, improve the selection, placement and use of personnel in the healthcare system of the Russian Federation, and increase personal responsibility for the performance of professional and official duties.

1.4. The process of obtaining qualification categories is provided by attestation commissions and includes procedures for obtaining qualification categories - stages of assessing the conformity of professional knowledge and skills of specialists (hereinafter referred to as qualification procedures).

1.5. Attestation commissions in their activities are guided by the Constitution of the Russian Federation, federal constitutional laws, federal laws, decrees and orders of the President of the Russian Federation, decrees and orders of the Government of the Russian Federation, these Regulations, departmental regulatory legal acts, regulatory legal acts of state authorities of the constituent entities of the Russian Federation.

1.6. Principles of the qualifying examination:

independence and objectivity of expert assessments;

openness of qualification procedures;

sequential assignment of qualification categories;

observance of norms of professional ethics;

compliance with a strict sequence of qualification procedures provided for by these Regulations;

high qualification and competence of persons carrying out qualification procedures.

1.7. The system of attestation commissions includes:

the Central Attestation Commission, created by the Ministry of Health and Social Development of the Russian Federation;

attestation commissions of the constituent entities of the Russian Federation, created by the health authorities of the constituent entities of the Russian Federation;

departmental attestation commissions, departmental attestation commissions in the constituent entities of the Russian Federation, in healthcare institutions, scientific and educational medical institutions, created by federal executive authorities and other departments according to their affiliation.

1.8. The attestation commissions consist of expert groups corresponding to the specialties (directions) for which the attestation commissions carry out the established qualification procedures, and the Coordinating Committee of the Attestation Commission (hereinafter referred to as the Committee), which coordinates the work of the expert groups.

1.9. The expert groups include employees of health authorities, members of the Russian Academy of Medical Sciences, heads and specialists of medical, scientific and educational organizations with sufficient knowledge to conduct a qualification exam in the declared specialties.

1.10. The Committee consists of the chairman - chairman of the certification commission, deputy chairman - deputy chairman of the certification commission, executive secretary - executive secretary of the certification commission, deputy executive secretary - deputy executive secretary of the certification commission, members of the Committee.

The expert groups include the chairman, deputy chairman, secretary, members of the expert groups.

In the absence of the chairman of the Committee (expert group), his powers are exercised by the deputy.

1.11. The personal composition of the attestation commissions and the regulations on their work are approved by the order of the body under which they are created. The personal composition of the attestation commissions is updated as necessary.

Changes in personnel are approved by order of the body under which they are created.

1.12. Attestation commissions carry out their activities in accordance with the sequence of qualification procedures established by these Regulations. Qualification procedures are aimed at assessing the professional qualifications and competence of specialists.

1.13. A specialist can receive a qualification category both in the main and in the combined specialty.

1.14. Qualification categories are assigned in accordance with the current nomenclature of specialties.

II. The procedure for obtaining qualification categories

2.1. Qualification categories are assigned to specialists who have a level of theoretical training and practical skills corresponding to the qualification characteristics of specialists, and work experience in the specialty:

the second - at least three years for specialists with higher and secondary vocational education;

the first - at least seven years for specialists with higher professional education and at least five years for specialists with secondary professional education;

higher - at least ten years for specialists with higher professional education and at least seven years for specialists with secondary professional education.

2.2. When assigning qualification categories, the following sequence is used: second, first, highest.

2.3. Specialists who have expressed a desire to obtain (confirm) a qualification category, submit to the certification commission:

an application of a specialist addressed to the chairman of the attestation commission, which indicates the qualification category for which he is applying, the presence or absence of a previously assigned qualification category, the date of its assignment, the personal signature of the specialist and the date (the recommended sample is given in Appendix No. 1 to this Regulation);

a printed qualification sheet, certified by the personnel department (the recommended sample is given in Appendix No. 2 to this Regulation);

a report on the professional activity of a specialist, agreed with the head of the organization and certified by its seal, and including an analysis of professional activity for the last three years of work - for specialists with higher professional education and for the last year of work - for employees with secondary vocational education with their personal signature (recommended a sample is given in Appendix No. 3 to this Regulation). The report should contain the conclusions of a specialist about his work, proposals for improving the organization of the provision and quality of medical care to the population. The report must contain reliable data in the description of the work performed by the specialist, rationalization proposals, patents. If the head of a medical organization refuses to agree on a report on the professional activities of a specialist, the head issues a written explanation of the reasons for the refusal, which is attached to the rest of the examination documentation;

copies of documents on education (diploma, certificate, certificates, certificates of a specialist and other documents), employment record, certified in the prescribed manner;

in case of change of surname, name, patronymic - a copy of the document confirming the fact of change of surname, name, patronymic;

a copy of the certificate of assignment of the qualification category (if any) or a copy of the order on the assignment of the qualification category.

2.4. The head of the organization in which the specialist carries out professional activities creates conditions for:

submission by a specialist of qualification documentation drawn up in accordance with the requirements for completeness and correctness;

interaction of the organization with the attestation commission regarding the procedure for obtaining a qualification category by a specialist;

submission to the attestation commission of information on the number of specialists who carry out professional activities in a medical organization and have passed the procedure for obtaining a qualification category (indicating the attestation commission and the qualification category received), as well as specialists wishing to obtain (confirm) a qualification category in the next calendar year;

notification of a specialist who has expressed a desire to obtain a qualification category.

2.5. The requirements specified in paragraphs 2.3 and 2.4 of these Regulations, in terms of the need to certify the documents submitted by the specialist and ensure the interaction of the organization with the certification commission, do not apply to specialists engaged in professional activities in the private healthcare system.

2.6. The documents that make up the qualification documentation must be neatly executed and bound.

2.7. Qualification documentation is sent to the certification commissions by mail, as well as directly by the specialist, an official of the organization authorized to interact with the organization in which the specialist carries out professional activities with the certification commission.

2.8. In order to preserve the previously assigned qualification category, the specialist sends the qualification documentation to the certification commission no later than four months before the expiration of the qualification category. When sending the examination documentation later than the specified date, the date of the qualification exam may be scheduled after the expiration of the qualification category.

III. The procedure for the meeting of attestation commissions

3.1. The meeting of the attestation commission is appointed within a period not exceeding three months from the date of registration of the examination documentation.

3.2. Specialists of federal state institutions under the jurisdiction of the Ministry of Health and Social Development of the Russian Federation submit qualification documentation to the Central Attestation Commission.

Specialists of state institutions under the jurisdiction of other federal executive authorities, executive authorities of the constituent entities of the Russian Federation submit qualification documentation to the relevant departmental attestation commissions.

Specialists who carry out medical and pharmaceutical activities in organizations of the state healthcare system of a constituent entity of the Russian Federation, the municipal healthcare system, as well as specialists engaged in professional activities in the private healthcare system, submit qualification documentation to the certification commissions of the constituent entities of the Russian Federation on the territory of which they operate.

3.3. The qualification documentation received by the attestation commission is registered in the document registration log (the recommended sample is given in Appendix No. 4 to this Regulation) after checking its compliance with the requirements for completeness and correct execution within 7 calendar days. If the qualification documentation does not meet the specified requirements, the person who submitted the qualification documentation (an official of the organization in which the specialist carries out professional activities, authorized to interact with the organization with the certification commission) is informed of the reasons for the refusal to accept the examination documentation with an explanation of the possibility of their elimination.

Refusal to accept the qualification documentation received by the attestation commission must be sent to the specialist no later than 14 calendar days from the date of receipt of the examination documentation by the attestation commission.

To eliminate the shortcomings of the qualification documentation, the specialist is invited to eliminate the identified shortcomings within a month.

3.4. Control over compliance with the registration procedure, the requirements for completeness and correctness of the qualification documentation submitted to the certification commission is carried out by the executive secretary of the relevant certification commission.

3.5. The executive secretary of the attestation commission, no later than one month from the date of registration of the qualification documentation, determines the expert group of the attestation commission corresponding to the specialty (direction) declared in the qualification documentation, and coordinates with its chairman the terms of the qualification examination of a specialist.

3.6. Based on the results of consideration of the qualification documentation, the chairman of the expert group determines the members of the expert group for reviewing the report on the specialist's professional activities.

3.7. The chairman of the expert group determines the need to involve independent specialists (experts) in reviewing the report on the specialist's professional activities.

3.8. A review of a report on the professional activities of a specialist is signed by the members of the expert group participating in the review or by independent specialists (experts) and the chairman of the expert group.

3.9. The review should reflect:

possession of modern methods of diagnosis and treatment, adequate to the qualification requirements for specialists of the second, first and highest categories;

participation of a specialist in the work of a scientific society or a professional medical association;

availability of publications and printed works;

the duration and timing of the last advanced training;

forms of self-education used by a specialist;

compliance of the volume of theoretical knowledge, actually performed diagnostic and therapeutic practical skills with the qualification requirements for specialists in the declared qualification category.

3.10. The term for examination of qualification documentation by an expert group may not exceed 14 calendar days.

3.11. Based on the results of the review, the expert group prepares a conclusion on the assessment of the specialist's report and, together with the executive secretary of the attestation commission, determines the date of the meeting in the specialty stated in the qualification documentation.

The secretary of the expert group notifies the specialist of the date of the meeting.

3.12. As part of the meeting of the expert group, the specialist is tested and interviewed.

Testing provides for the performance of test tasks corresponding to the declared qualification category and specialty, and is recognized as passed by a specialist provided that at least 70% of correct answers to test tasks are given.

The interview provides for a survey of a specialist by members of the expert group on theoretical and practical issues corresponding to the specialty declared in the qualification documentation.

3.13. At the meeting of the expert group, the secretary of the expert group keeps individual protocols of specialists undergoing qualification procedures (the recommended sample is given in Appendix No. 5 to these Regulations). Each individual protocol is certified by the members and the chairman of the expert group.

3.14. The decision on the compliance of a specialist with the declared category is made based on the results of testing, interviews and taking into account the assessment of the report on the professional activity of the specialist and is entered in the qualification list.

3.15. The expert group of the attestation commission at the meeting makes one of the following decisions:

assign a second qualification category;

improve the second qualification category with the assignment of the first;

improve the first qualification category with the assignment of the highest;

confirm the previously assigned qualified category;

remove the first (highest) qualification category with the assignment of a lower qualification category;

to deprive the qualification category (second, first, highest);

reschedule certification;

refuse to assign a qualification category.

3.16. When depriving, lowering or refusing to assign a higher qualification category, the individual protocol of a specialist indicates the reasons why the expert group of the attestation commission made the appropriate decision.

3.17. The assessment of the qualification of a specialist is adopted by open voting if at least 2/3 of the number of members of the expert group of the attestation commission are present at the meeting.

3.19. When deciding on the assignment of a qualification category to a specialist who is a member of the certification commission, the latter does not participate in the voting.

3.20. The specialist has the right to pass a re-qualification exam, but not earlier than one year after the decision on non-compliance with the qualification category is made.

3.21. Individual protocols of the examined specialists are sent to the executive secretary of the attestation commission for the preparation of the minutes of the meeting of the attestation commission (the recommended sample is given in Appendix No. 6 to this Regulation). The protocol of the meeting of the expert group is certified by the members of the expert group and approved by the deputy chairman of the attestation commission.

3.22. Substitution of a member of the expert group by another person who is not included in its composition is not allowed.

3.23. The draft order on the assignment of a qualification category is prepared by the executive secretary of the attestation commission on the basis of its decision. The body under which the attestation commission is established, within one month, issues an order on the assignment of a qualification category.

3.24. Within a week from the date of issuance of the order on the assignment of a qualification category, the executive secretary of the attestation commission draws up a document on the receipt of the qualification category, which is signed by the chairman of the attestation commission and certified by the seal of the body under which it was created.

3.25. A document on the assignment of a qualification category is issued to a specialist or a person authorized by him (on the basis of a power of attorney) upon presentation of an identity document of the recipient, or sent by postal service (with the consent of a specialist).

3.26. The issued document on the assignment of a qualification category is registered in the document registration log.

3.27. In case of loss of a document on the assignment of a qualification category, on the basis of a written request from a specialist to the certification commission, a duplicate is issued within a month. When it is issued, the word "Duplicate" is written on the left side at the top.

3.28. Qualification documentation, copies of orders for the assignment of qualification categories and other organizational and administrative documents relating to the work of the attestation commission are stored in the attestation commission for five years, after which they are subject to destruction in accordance with the established procedure.

3.29. The specialist has the right to familiarize himself with the documents submitted to him by the certification commission.

3.30. The decisions of the attestation commissions within thirty days from the date of their adoption can be appealed by sending an application with justification of the reasons for disagreement to the bodies under which the attestation commissions were created, as well as to the Central Attestation Commission.

3.31. In conflict cases, the employee may appeal the decision of the certification commission in accordance with the legislation of the Russian Federation.

3.32. Information (certificate, extract from the protocol, etc.) about specialists who have received a qualification category can be issued at the written request of the specialist himself or at the request of law enforcement agencies.

IV. Forms of work of the attestation commission

4.1. Certifying commission:

analyzes the activities of specialists with higher and secondary vocational education who have submitted documents for obtaining qualification categories;

summarizes the experience of work and implementation of qualification procedures and provides an annual report to the body under which it was created;

considers the need for off-site meetings.

4.2. The need for an off-site meeting is determined by the attestation commission on the basis of petitions from organizations and other structures representing the interests of specialists. When studying the issue of the need to hold an on-site meeting, the attestation commission has the right to request data on the quantitative composition of specialists wishing to obtain a qualification category and the specialties (directions) declared for the qualification exam.

4.3. The chairman of the attestation commission sends to the body under which the attestation commission is created, the rationale for the need (absence of the need) to hold an offsite meeting of the attestation commission.

4.4. When preparing a justification on the need (lack of need), the following are taken into account:

the level of workload of the expert groups of the certification commission and their members at the main place of employment;

circumstances due to which specialists wishing to pass the qualification exam cannot appear at the meeting place of the attestation commission;

the quantitative composition of specialists wishing to pass the qualification exam;

information on the qualifications of these specialists, provided by the organizations in which they carry out their professional activities;

the possibility of compliance with the requirements, including the qualification procedures established by these Regulations, during the off-site meeting of the attestation commission.

4.5. The body under which the attestation commission is established makes a decision to hold an offsite meeting of the attestation commission and approves by its order the personal composition of the attestation commission and expert groups, the timing of the offsite meeting of the attestation commission and its tasks.

But in fact, the assignment of one category or another does not always directly correspond to the real level of a doctor's qualifications. Often a higher category reflects the indulgence of the commission to your "long" medical experience or the presence of "necessary acquaintances". A lower category may indicate a conflict situation with the head physician or doubts about one's competence and fear of the exam.

The ranking of doctors by category, in my opinion, is typical only for free medicine . Where medical personnel are paid according to the complexity and volume of the work performed, where there are clear prices for examination and treatment, the doctor should only have a license confirming his admission and ability to provide the services offered.

However, modern culture, even in a society of "free medicine", is based on the principle of individual competition. Therefore, there have always been, are and will be doctors with ambitions and striving for success (including the defense of a higher qualification category). A higher qualification category evokes a sense of legitimate pride, promotes self-assertion, growth of respect/envy among colleagues, and a small material incentive.

What do you need to qualify for a category?

1. Have an idea.

For lovers of bureaucratic documents posted:

• Order of the Ministry of Health of the Russian Federation No. 808n "On the procedure for obtaining qualification categories" dated July 25, 2011.

• Letter of the Ministry of Health "Clarifications on certain issues of certification for the qualification category ..." dated December 25, 2012.

• Order of the Ministry of Health of the Russian Federation No. 810n "On the Central Attestation Commission" dated July 25, 2011.

Be sure to look through the polemical article by Professor N. Melyanchenko “Doctor's Qualification - an Economic Category”. From the article you will learn why there are no qualification categories in foreign countries and what the system of tolerances is.

From January 1, 2016, certification is canceled and accreditation of doctors is introduced. Another article by Professor N. Melyanchenko will give you the opportunity to prepare for competition in the world of permits and licenses.

2. Meet the qualification requirements for your specialty.

Qualification requirements for doctors in detail, up to the indication of special literature, are described in the order of the Ministry of Health of the USSR No. 579 " On approval of qualification characteristics of medical specialists" dated July 21, 1988 - read.

The qualification characteristics of specialists with secondary medical education are disclosed in Appendix 4 to the order of the Ministry of Health No. 249 of August 19, 1997 - read.

It is extremely important that the education received and the specialty (basic, basic and additional) do not contradict the nomenclature of specialties, and the specialty for which you are going to defend the category corresponds to the position of the specialist. Otherwise, there will be problems both with protection and with payment for the qualification category. You can get acquainted with the nomenclature of specialties in the subsection "Admission to activities".

3. Undergo training to update existing theoretical and practical knowledge.

This is a mandatory requirement. Doctors who have not undergone advanced training in the certified specialty in public educational institutions during the last five years. I advise you to immediately choose the certification cycle, so that after completing the training and successfully passing the exam, you will also receive a certificate.

According to the order of the Ministry of Health and Medical Industry of the Russian Federation of August 16, 1994 No. 170, when certification for the highest, first and second certification categories, doctors and nurses of all specialties are required to be tested for HIV infection (see paragraph 1.8 in the order). The order is posted on the website and contains information (classification, diagnosis and treatment of HIV, dispensary registration) sufficient to prepare for certification for the category.

Options for postgraduate education are set out in a separate file. The order of the Ministry of Health of the Russian Federation dated 08/03/2012 66n is also posted there, regulating the procedure and terms for improvement.

The list of institutions where you can undergo improvement is contained on the page of Russian Medical Universities. Please note that some information cards include current study cycle schedule. There is also a list of the necessary minimum of things and documents that will be required for training.

4. View examples of completed certification papers for doctors and nurses.

Ready attestation works of doctors and nurses are posted on the website as an example and are not intended for copying or replication. The inability to independently comprehend the results of one's activities is a reflection of intellectual and professional wretchedness. .

• Examples of attestation reports of doctors

• Examples of Nursing Attestation Reports

5. Write an attestation paper.

It should be said that the vast majority of certification works of doctors are uninteresting. Because usually colleagues are limited to a simple enumeration of statistical facts. Sometimes, to add volume, statistics are diluted with textbook inserts. Other doctors are generally engaged in outright plagiarism: they go to the archive, take the reports of other doctors for the past years and only change the numbers. I even saw attempts to hand over the sheets copied on the Xerox. It is clear that such a "creative approach" causes only contempt. Well, completely stupid and lazy medical workers simply buy (for example, via the Internet) ready-made certification papers.

• What to write in your certification report is described in the document “Exemplary scheme and content of the certification work”

• How the certification work should look can be found in the file "Standards and requirements for the design of the certification report"

6. Submit the necessary documents to the attestation commission.

The papers that must be submitted to the certification commission are contained in the List of documents for medical certification.

List of orders for certification

The very first order that I know of is dated January 11, 1978. It was the order of the Ministry of Health of the USSR No. 40 "On the certification of medical specialists."

After 4 years, the order of the Ministry of Health of the USSR No. 1280 “On measures to further improve the certification of doctors” is issued. The order provided for 2 types of certification: mandatory and voluntary ().

At the beginning of 1995, the Ministry of Health and Medical Industry of the Russian Federation issued Order No. 33 “On Approval of the Regulations on the Certification of Doctors, Pharmacists and Other Specialists with Higher Education in the Healthcare System of the Russian Federation”. This order left only one certification - voluntary.

In 2001, order No. 314 “On the procedure for obtaining qualification categories” was issued.

After 10 years, the old order was replaced by a new one - Order of the Ministry of Health of the Russian Federation No. 808n “On the procedure for obtaining qualification categories”, which is currently active.